Design and development of a spiritual care competency framework for pre-registration nurses and midwives: A modified Delphi study
Design and development of a spiritual care competency framework for pre-registration nurses and midwives: A modified Delphi study
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DOI：
10.1016/j.nepr.2019.08.003
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发表时间：
2019-08-01
影响因子：
3.2
通讯作者：
Weeks, Keith W.
中科院分区：
文献类型：
--
作者：
Attard, Josephine;Ross, Linda;Weeks, Keith W.
这是两篇论文中的第二篇，报告了为注册前护士和助产士开发的精神护理能力框架，作为博士研究的一部分，使用嵌入的顺序混合方法折中研究设计。第一篇论文概述了116个能力项目是如何从深入的国际文献回顾中产生的，并提供了一个支持框架发展的理论模型。目的：本文报告了框架是如何制定的。方法/结果：与马耳他的利益相关者(牧师/精神领袖、本科生护理/助产教育工作者、合格护士/助产士、父母/照顾者、病人/客户)举行了五个焦点小组，以确保框架中包括对他们重要但未在文献综述中确定的精神/精神护理方面。七个领域的55项能力形成了德尔菲问卷，该问卷使用两轮修正的德尔菲法进行了验证，其中包括来自马耳他的专家。最后的7个领域54条目框架显示出良好的内部一致性、稳定性和与六因素模型的良好契合性。结论：框架最大的直接贡献在于它能够为本科生护理/助产精神护理课程的设计和实施提供信息。框架的进一步发展将有助于学生的选择，确保护理/助产的“艺术”与“科学”平等。
This is the second of two papers reporting the development of a spiritual care competency framework for pre-registration nurses and midwives as part of a PhD study using an embedded sequential mixed methods eclectic research design. The first paper outlines how 116 competency items were generated from an in-depth review of international literature, and offers a theoretical model to underpin development of the Framework.Aim: This paper reports how the Framework was developed.Method/results: Five focus groups were held with stakeholders in Malta (chaplains/spiritual leaders, undergraduate nursing/midwifery educators, qualified nurses/midwives, parents/carers, patients/clients) to ensure that aspects of spirituality/spiritual care important to them, but not identified in the literature review, were included in the Framework. The resulting 55 competencies in seven domains formed the Delphi Questionnaire which was validated using a two round modified Delphi method involving experts from Malta. The final seven domain 54 item Framework demonstrated good to strong internal consistency, stability and a good fit with a six factor model.Conclusion: The Framework's greatest immediate contribution is in its ability to inform undergraduate nursing/midwifery spiritual care curriculum design and delivery. Further development of the Framework could assist in student selection ensuring that the 'art' of nursing/midwifery has parity with the 'science'.